Ellis Family Id Services Inc.

LBN: Ellis Family Id Services Inc.
Ellis Family Id Services Inc. is an health care organization with primary practice located at 3925 Poplar Grove Rd , Maryville TN 37804-4701. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Ellis Family Id Services Inc. can be contacted via phone (865) 724-7208, or through Ellis, Wanda K. via phone (865) 724-6748.

Contact Information

Primary practice address
3925 Poplar Grove Rd Maryville TN 37804-4701
Phone: (865) 724-7208
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Wanda K.
Phone: (865) 724-6748

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1134825151
LBN Legal business name Ellis Family Id Services Inc.
DBA Doing business as
Authorized official Ellis, Wanda K.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2023
Last updated May 11th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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